改良“人”字形体位在妇科腹腔镜手术的应用

Application of modified herringbone positioning in gynecological laparoscopic surgery

目的探讨妇科腹腔镜手术改良"人"字形体位安置的效果。方法将100例实施妇科腹腔镜手术患者随机分为对照组和改良组各50例。对照组采用常规截石位;改良组采用新型体位垫改良"人"字形体位,观察两组患者体位安置的时间、血压波动情况以及术后并发症发生率。结果两组比较,改良组体位安置耗时显著短于对照组,血压变化幅度小于对照组,体位稳固性比例及医生、护士满意率显著高于对照组(P<0.05,P<0.01)。结论改良"人"字形体位应用于妇科腹腔镜手术,可避免患者血压波动,提高舒适度,保障患者手术安全。

Objective To investigate the effect of modified herringbone positioning in gynecological laparoscopic surgery.Methods A total of 100 cases of gynecological laparoscopic surgery were randomly and evenly divided into a control group, who were placed in routine lithotomy position, and an observation group, who were placed in modified herringbone position with the aid of a new type of position pads(positioners). The time of position placement, blood pressure fluctuations, and postoperative complications were compared between the two groups.Results The observation group had shorter time of position placement, and narrower blood pressure fluctuations, and higher proportion of patients with stable position during the surgery than the controls(P<0.05,P<0.01). The satisfaction rate of doctors and nurses with the modified herringbone positioning was significantly higher than the routine methods(P<0.05,P<0.01).Conclusion The application of the modified herringbone positioning in gynecological laparoscopic surgery can reduce the fluctuation of blood pressure, boost patient comfort, and guarantee safety of the surgery.